Individual
EBRAHIM PAPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 TAMIAMI TRL, STE A, PORT CHARLOTTE, FL 33952-3922
(941) 624-2704
(941) 627-6066
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0074844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42701
FL BC
FL
Enumeration date
06/30/2005
Last updated
09/16/2021
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